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“... edication assisted tapering and weaning, computer-based training pain coaching, acupuncture, chiropractic, physical therapy, massage, and exercise/movement; or
collaborative care or other behavioral health integration services such as evidenced-based cognitive behavioral therapy interventions for me ... ”
Description: Press Release June 14, 2011 (PDF File)
Document: ... ent after luring her to a locked back room at his office. Following news coverage of that arrest, four more patients came forward with allegations that Dr. Day had sexually assaulted them as well. In addition, a former employee gave a statement to San Antonio police about a bizarre incident involvin ...
Description: Press Release June 16, 2008 A (PDF File)
Document: ... the lobby area of the William P. Hobby Jr. State Office Building, 333 Guadalupe Street. "Our purpose for these meetings is twofold," said Dr. Roberta Kalafut, TMB's board president. "First, we want to encourage a more active dialogue with doctors and with the public. The impressions we have as regu ...
Description: Press Release June 16, 2008 B (PDF File)
Document: ... uspension took effect immediately. The action was based on the following findings: Dr. Massey was the subject of an investigation based on a complaint that he was prescribing human growth hormone and other substances without medical necessity. When board staff subpoenaed the medical records, Dr. Mas ...
Description: Press Release June 16, 2011 (PDF File)
Document: ... penalty of $1,000 within 60 days. The action was based on Dr. Anderson's failure to safeguard against potential complications in her treatment of a patient with an opioid addiction. Balch, Michael Tol, M.D., Lic. No. E6031, Lubbock On June 3, 2011, the Board and Michael Tol Balch, M.D., entered int ...
Description: Press Release June 20, 2003 (PDF File)
Document: ... nent resolution of the allegations. Dr. Maynard's office was raided by local, state and federal law enforcement officials based on information regarding non-therapeutic prescribing, medically unnecessary prescribing and possible patient harm, including deaths, as a result of his prescribing activity ...
Description: Press Release June 20, 2007 A (PDF File)
Document: ... TMB release of June 14. They include four actions based on quality of care, one action based on impairment due to alcohol or drugs, two actions based on advertising violations and two minimal statutory violations. These bring the total number of disciplinary actions for the June 7-8 board meeting to ...
Description: Press Release June 20, 2008 A (PDF File)
Document: ... s the suspension of Dr. Louis' license. The panel based its action on the following findings: Dr. Louis was subject of a peer review proceeding before the Texas Medical Foundation concerning his care and treatment of five patients. The TMF panel was concerned about Dr. Louis' apparent lack of basic ...
Description: Press Release June 28, 2011 (PDF File)
Document: ... ing a June 9, 2011 investigation at Dr. Jimenez's office, investigators found more than 100 bottles of prescription medications issued in the names of various patients in and around his office and in his personal desk drawer. Dr. Jimenez admitted to pre-signing prescriptions and 194 pre-signed presc ...
Description: Press Release June 29, 2004 (PDF File)
Document: ... uing threat to the public welfare. The action was based on Dr. Sayers' arrest on June 4 by the Deer Park Police Department and charges by the Harris County District Attorney's Office for possession of a controlled substance. Indictment in Harris County is pending. The arrest took place after Deer Pa ...
Description: Press Release July 02, 2010 (PDF File)
Document: ... mporary Suspension is either lifted or confirmed, based on any additional evidence presented at the hearing. Evidence presented by Dr. O'Neal led the panel to conclude that Dr. O'Neal's continuation in the practice of medicine did not present a continuing threat to public health and safety. The pane ...
Description: Press Release July 07, 2008 B (PDF File)
Document: ... censed physicians. Actions included 12 violations based on quality of care; five actions based on unprofessional conduct; eight actions based on violation of probation or prior board order; five actions based on inadequate medical records violations; eight actions based on impairment due to alcohol ...
Description: Press Release July 11, 2005 (PDF File)
Document: ... uing threat to the public welfare. The action was based on the board's findings that Dr. Basped failed to meet the standard of care by writing prescriptions for dangerous drugs and controlled substances without doing an appropriate physical examination or keeping adequate medical records. The findin ...
Description: Press Release July 11, 2007 A (PDF File)
Document: ... pension is effective immediately.
The action was based on the following findings: Dr. Conte s pattern of practice constitutes nontherapeutic prescribing of narcotics, benzodiazepines and muscle relaxant medications; his records lack adequate documentation, histories and physicals, rationale for tr ...
Description: Press Release July 11, 2011 (PDF File)
Document: ... ter at Houston Medical School. The suspension was based on the panel's determination that Dr. Freeman's continuation in the practice of medicine poses a continuing threat to the public welfare. Dr. Freeman, Permit No. BP30037589, has a history of abusing alcohol and drugs that include cocaine and in ...
Description: Press Release July 13, 2004 (PDF File)
Document: ... ild psychiatrist in Arlington. The suspension was based on allegations that included sexual misconduct with adolescent patients. The panel's determination was made after review of written statements from victims and their family members, police reports, hospital reports, and documentation and report ...
“No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care ... ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“... te data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement
“... nts can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint. ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety. ”
What is the TMB definition of an analgesic and anxiolytics?
Board rule 192 defines analgesic and anxiolytics as shown below:
Analgesics--Dangerous or scheduled drugs that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).
Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety.
“... s not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without prope ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.